What are the responsibilities and job description for the SolutionHealth is hiring: Solutionhealth - Claims Editor - EHS Revenue Integrity position at SolutionHealth?
Who We Are
At SolutionHealth, our Revenue Integrity team takes great pride in the work that we do. We encourage everyone to work as a team and provide support where needed. If you have great attention to detail and meet the requirements below, our team encourages you to apply! Join a team where you can thrive and grow together!
About The Job
The Claims Editor will support all activities related to federal, state funded, and commercial code-based reimbursement to ensure that the hospital follows federal regulations and that reimbursement is both timely and accurate. The incumbent will review and monitor all charges entered by departments into the electronic medical record for quality and appropriateness and will function as a liaison between departments, coders, and billers for all charge issues.
What You’ll Do
- Responsible for monitoring all government-related coding and billing practices
- Serve as a liaison to clinical departments to ensure that all edits are appropriately resolved
- Review claims to ensure coding is accurate and in compliance with clean claim edits, within the designated timeframe
- Apply compliant coding / billing practices to resolve claim edits
- Perform dual maintenance (making corrections in EPIC to coding and charging), as well as in FinThrive to resolve all claim edits
- Develop and maintain reports which summarize and trend information
- And more
Who You Are
Why You’ll Love Us
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